Domain 1: Prevention Key Performance Indicators Prevention KPIs: - - PowerPoint PPT Presentation

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Domain 1: Prevention Key Performance Indicators Prevention KPIs: - - PowerPoint PPT Presentation

Domain 1: Prevention Key Performance Indicators Prevention KPIs: The impact of prescribing patterns 2 Confidential property of Optum. Do not distribute or reproduce without express permission from Optum. Measuring compliance with the CDC


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SLIDE 1

Domain 1: Prevention Key Performance Indicators

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SLIDE 2

Prevention KPIs: The impact of prescribing patterns

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Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.

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SLIDE 3

Measuring compliance with the CDC prescribing guidelines (2016)

Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.

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55.4%

Initial opioid prescription compliant with CDC recommendations

100%

Initial prescription is not for methadone

99.6%

Initial opioid prescription is for short acting formulation

77.2%

Initial opioid prescription is for <50MME/day

79.7%

Initial opioid prescription is for <=7 days supply

78.0%

No concurrent opioid and benzodiazepine use

OUTCOME MEASURE PROCESS MEASURES

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SLIDE 4

North Carolina: Initial opioid Rx is compliant with CDC recommendations, by county, 2016

​(blue = better performance)

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SLIDE 5

North Carolina: Initial opioid Rx is for < 50 MME/day, by county, 2016

​(blue = better performance)

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SLIDE 6

North Carolina: Initial opioid Rx is for < 7 days’ supply, by county, 2016

​(blue = better performance)

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SLIDE 7

Additional prescribing indicators (2016)

Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.

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87.1% 78.0% 54.0%

No use of opioids for new low back pain patients No concurrent opioid and benzodiazepine use Appropriate contact with provider before second opioid prescription

122

97.9%

35.9

New opioid fillers per 1,000 enrollees New opioid fillers who avoid chronic use Prevalence of opioid

  • verdose (OD) per 100,000

person-years

OUTCOME MEASURES PROCESS MEASURES

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SLIDE 8

Prescribing Guideline Dissemination & Implementation Approach

Translation & Communication Clinician Education & Training Health Systems Interventions Insurer Interventions